A phenylphthalimide derivative, TC11, induces apoptosis by degrading MCL1 in multiple myeloma cells

Daiju Ichikawa1, Misa Nakamura1, Wakana Murota1

  • 1Division of Clinical Physiology and Therapeutics, Faculty of Pharmacy, Keio University, Minato-ku, Tokyo, Japan.

Insights

A novel compound, TC11, effectively targets high-risk multiple myeloma (MM) by degrading MCL1, independent of the cereblon (CRBN) pathway. This offers a new therapeutic strategy for patients with poor prognoses.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Multiple myeloma (MM) with specific cytogenetic abnormalities (CA), such as t(4;14) and chromosome 17 deletion, has a poor prognosis.
  • Current treatments, including immunomodulatory drugs (IMiDs), show limited efficacy in these high-risk MM patients.

Purpose of the Study:

  • To investigate the mechanism of action of a novel phenylphthalimide derivative, TC11, in high-risk MM cells.
  • To determine if TC11's efficacy is dependent on the cereblon (CRBN) pathway, unlike existing IMiDs.

Main Methods:

  • TC11's effect on CRBN substrate degradation (IKZF1/3, CK1α) and apoptosis in CRBN-silenced MM cells was assessed.
  • MCL1 degradation, caspase-9 activation, and cell death induction by TC11 were analyzed.
  • The role of CDK1 inhibition and ectopic MCL1 expression in TC11's apoptotic effects was investigated.

Main Results:

  • TC11 induced apoptosis in MM cells independently of the CRBN pathway.
  • TC11 triggered MCL1 degradation and caspase-9 activation, distinct from IMiD mechanisms.
  • CDK1 inhibition blocked TC11-induced apoptosis, while MCL1 overexpression rescued it.

Conclusions:

  • TC11 induces apoptosis in high-risk MM by degrading MCL1, leading to prolonged mitotic arrest.
  • TC11 represents a promising therapeutic candidate for multiple myeloma patients with poor-prognosis cytogenetic abnormalities.

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